6 Colo. Code Regs. § 1011-1 Chapter 09 Part 9
Current through Register Vol. 47, No. 11, June 10, 2024
9.1 Organization and Staffing (A) There shall be sufficient available provider, nursing, and ancillary staff with the appropriate education, training, competencies, and experience to meet the needs of the patient, in accordance with the scope of the services provided by the CC.(B) The CC shall maintain position descriptions for all categories of personnel that clearly state their qualifications and expected duties.(C) Staff shall be licensed, certified, or registered in accordance with applicable state laws and regulations and shall provide services within their scope of practice, facility policy, and professional standards of practice.(D) The CC shall maintain personnel records on each member of the CC staff including verification of licensure, certification, or registration. In addition, the CC shall maintain procedures to ensure that staff for whom state licenses, registrations, or certificates are required have a current license, registration, or certification.(E) Staff shall receive orientation including, but not limited to, the patient care environment, Infection control, and relevant policies and procedures.(F) Staff shall receive annual training on infection control practices as required in Part 11.3 (A).(G) The CC shall ensure that policies and procedures are available to employees at all times.(H) CCs that utilize Emergency Medical Service (EMS) providers shall, in collaboration with the provider staff, establish operating policies and procedures that ensure EMS providers perform tasks and procedures and administer medications within their scope of practice pursuant to Section 25-3.5-207, C.R.S.9.2 Nursing Services (A) The CC shall provide nursing services sufficient to meet the scope of care and services as defined in clinic policy.(B) There shall be written nursing policies and procedures that establish standards for performance of safe, effective nursing care of patients. These procedures shall be reviewed periodically and revised as necessary, no less than every three (3) years.(C) Nursing services shall be overseen by a registered nurse qualified by training and experience.9.3 Provider Staff(A) The community clinic shall have an organized provider staff that shall provide clinical services sufficient to meet the scope of care as defined in policy.(B) Care shall be provided by providers qualified by education, training, and experience to deliver such care.(C) Medications and treatments shall be administered only on the order of a provider authorized by law.(D) The CC's provider staff shall develop and implement written patient care policies that are reviewed and updated on a routine basis and no less than every three (3) years. The policies and procedures shall address:(1) Primary care services.(2) Coordination of care with other facilities or health care service providers, including, but not limited to, the transfer of records to facilitate continuity of care.(3) Continuing care by the same health care provider whenever possible.(4) If the CC does not provide emergency services, the facility response to an individual who presents with or declares the need for emergency services, including when it is appropriate to:(a) Treat the patient within the clinic;(b) Advise the individual to go to an emergency room; or(c) Call 9-1-1 for the individual.6 CCR 1011-1 Chapter 09 Part 9